Individual
JORDAN BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
781 GRAND CASINO BLVD, SHAWNEE, OK 74804-1005
(405) 695-6004
Mailing address
16212 JULIET DR, EDMOND, OK 73013-9235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6667
OK
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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